Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.33 / $3,645.00 / $8,294.00	Facility		$1,177.33	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $938.57 / $1,177.33 / $1,419.41	Professional		$938.57	$1,177.33	$1,419.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.49 / $1,242.27 / $2,053.84	Professional		$961.49	$1,242.27	$2,053.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,143.65 / $1,258.02 / $9,951.00	Professional		$1,143.65	$1,258.02	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $1,189.38	Facility		$572.00	$572.00	$1,189.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.21 / $1,313.44 / $2,368.17	Professional		$994.21	$1,313.44	$2,368.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $998.58 / $1,278.18 / $1,502.87	Professional		$998.58	$1,278.18	$1,502.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,058.40 / $1,381.84 / $1,970.96	Facility		$1,058.40	$1,381.84	$1,970.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,303.00 / $1,505.00 / $2,100.00	Professional		$1,303.00	$1,505.00	$2,100.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,039.89 / $1,363.35 / $4,488.32	Facility		$1,039.89	$1,363.35	$4,488.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,039.89 / $1,363.35 / $4,488.32	Professional		$1,039.89	$1,363.35	$4,488.32
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $810.44 / $1,306.64 / $2,012.63	Professional		$810.44	$1,306.64	$2,012.63